REVIVOLOGY
NPI 1467988832
Clinic/Center in South Jordan, UT

Q: What is Revivology's NPI number?

The NPI number for Revivology is 1467988832. It was assigned to this organization in the NPPES registry on May 4, 2017.

Q: What is Revivology's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Revivology was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2017

11464 S PARKWAY PLAZA DR, SUITE 300, SOUTH JORDAN, UT 84095(801) 987-8653(801) 727-8177 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revivology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVOLOGY (NPI 1467988832) is a healthcare organization registered as a clinic/center in South Jordan, Utah and active in the NPI registry since May 2017. The organization lists Christopher Patrick Kelly, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1467988832

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameREVIVOLOGY

Location Address11464 S PARKWAY PLAZA DR, SUITE 300South Jordan, UT 84095-6052

Mailing Address11464 S Parkway Plaza Dr, Suite 300South Jordan, UT 84095-6052 · (801) 987-8653 · Fax (801) 727-8177

Phone(801) 987-8653

Fax(801) 727-8177

Organization SubpartNo

Authorized OfficialChristopher Patrick KellyMedical Director/owner · (801) 987-8653

Enumeration DateMay 4, 2017

✔ NPI 1467988832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in UT · 9258138-1205

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11464 S PARKWAY PLAZA DR, South Jordan, UT 84095

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revivology's NPI number?

The NPI number for Revivology is 1467988832. It was assigned to this organization in the NPPES registry on May 4, 2017.

Where is Revivology located?

Revivology is located at 11464 S Parkway Plaza Dr Suite 300, South Jordan, UT 84095. The listed phone number is (801) 987-8653.

What is Revivology's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Revivology was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.